Medicare Facts for Kimberley S. Burgess, APN


National Provider Identifier [NPI]: 1932120466
Last Name Of The Provider BURGESS
First Name Of The Provider KIMBERLEY
Middle Initial Of The Provider S
Credentials Of The Provider APN
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 8 N 3RD ST
Street Address 2 Of The Provider
City Of The Provider ALTAMONT
Zip Code Of The Provider 624111408
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 56
Number Of Medicare Beneficiaries 24
Total Submitted Charge Amount 1421
Total Medicare Allowed Amount 876.98
Total Medicare Payment Amount 655.62
Total Medicare Standardized Payment Amount 798.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 1
Number Of Drug Services 23
Number Of Medicare Beneficiaries With Drug Services 14
Total Drug Submitted ChargeAmount 184
Total Drug Medicare AllowedAmount 46.3
Total Drug Medicare PaymentAmount 34.67
Total Drug Medicare Standardized Payment Amount 34.67
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 3
Number Of Medical Services 33
Number Of Medicare Beneficiaries With Medical Services 24
Total Medical Submitted Charge Amount 1237
Total Medical Medicare Allowed Amount 830.68
Total Medical Medicare Payment Amount 620.95
Total Medical Medicare Standardized Payment Amount 764.2
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.1018

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